在瑞典自我报告的药物坚持和对中风后药物的信念的纵向变化:一项重复的横截面研究
Maria Sjölander1, Maria Gustafsson1, Henrik Holmberg2
1Department of Medical and Translational Biology, Umeå University, Umeå, Sweden.
BMJ open
|October 18, 2024
概括
在中风幸存者的药物信仰是稳定的,但随着时间的推移,不坚持增加了. 关于药物的负面信念与中风后24个月的更高的不服药率有关.
科学领域:
- 神经学 神经学
- 药理学 药理学是指药理学的学科.
- 健康心理学 心理健康心理学
背景情况:
- 卒中幸存者经常面临长期药物管理方面的挑战.
- 了解患者对药物的信仰对于改善药物服药的坚持至关重要.
研究的目的:
- 从中风后3至24个月检查药物信仰的变化和自我报告的不遵守.
- 确定24个月后关于药物的信念和不遵守之间的关联.
主要方法:
- 在瑞典医院对594名急性中风患者进行了长度问卷调查.
- 使用药物坚持报告量表 (MARS) 评估药物坚持.
- 用药物问卷 (BMQ) 对药物的评估信念.
主要成果:
- 不遵守的比例从3个月后的11.2%增加到24个月后的15.7% (p=0.030).
- 随着时间的推移,对药物必要性的感知增加了 (p=0.007).
- 在24个月后,不坚持的患者持有更强的负面信念 (关注,过度使用,伤害) 和较弱的积极信念 (必要性,益处).
结论:
- 脑卒中患者对药物的信仰与坚持有关,除了感知到的必要性之外,他们的信仰基本上保持稳定.
- 尽管信念稳定,但药物不服药在中风后增加.
- 需要针对故意和非故意遵守的干预措施来抵消不遵守.
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